Individual
BETH MARIE BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
524 W MADISON ST, BOLIVAR, MO 65613-1945
(417) 852-4090
Mailing address
HC 79 BOX 2485, PITTSBURG, MO 65724-9739
(417) 852-4090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004015147
MO
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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